Credentialing Analyst job in Norwalk, CA | Pipeline Health

Credentialing Analyst
Pipeline HealthNorwalk, CAa month ago

Job Snapshot



  • Employee Type:


    Per Diem


  • Location:


    Norwalk, CA

  • Job Type:


    Other


  • Experience:


    Not Specified


  • Date Posted:


    5/23/2022






About Us


Coast Plaza Hospital, Community Hospital of Huntington Park, East Los Angeles Doctors Hospital, and Memorial Hospital of Gardena are part of the Pipeline Health network, an independent national healthcare network. Trusted care partners in their respective communities, each of our hospitals have been providing comprehensive healthcare services to the Greater Los Angeles area for 50 years or longer.



With proven experience in clinical medicine, finance, hospital operations, and acquisitions, Pipeline Health is an independent national healthcare network that manages thriving hospitals in Chicago, Dallas, and Los Angeles. Pipeline Health follows a unique operating model that enables our facilities to consistently deliver personalized, high-quality care, reflective of the diverse communities we serve.



Focusing on Clinical Excellence, Operational Efficiency, and Financial Stability, Pipeline Health is committed to staff success and patient well-being. Our team of healthcare leaders is singularly focused on empowering those in our communities to live the healthiest lives possible.




Job Description



Job Title: Credentialing Analyst
Job Summary:
Under the direction of the Medical Staff Services Director, responsible for implementing credentialing activities according to expectations defined by the Medical Staff Bylaws, Rules and Regulations, and regulatory agencies. Responsible for managing, gathering, researching, screening, and updating physician credentials for appointment and reappointment. Prepares summary evaluations of practitioner credentials for Committee review, including proctoring and quality review results. Actively participates in outstanding customer service behaviors and accepts responsibility in maintaining relationships that are equally respectful to all. The Credentialing Analyst reports to the Medical Staff Services Director.
Essential Job Duties: 
Demonstrates and understands the various procedures within the department. 
Timely and efficiently process initial and reappointment applications to the Medical Staff within established guidelines, Medical Staff Bylaws and Rules & Regulations, Accreditation Standards, Title 22, and related compliance standards. 
Timely and efficiently prepares agenda items and other information as necessary for credentialing review and approval; attend meetings and prepare minutes as needed; notifies appropriate Chairs of completed applications and obtains their evaluation of each. 
Maintain the current proctoring process and maintenance of data entry for updates within the credentialing database for timely report generation as needed. 
Timely and efficiently verifies information through the required and/or established verification entities (e.g., Medical Board, NPDB, OIG, etc.) and obtains references when necessary. 
Timely and efficiently prepares and distributes reappointment packets within the required timeframe. 
Timely and efficiently files all correspondence and documents relating to credentialing.
Behavioral Standards: 
Exhibits customer and service oriented behaviors in every day work interactions. 
Demonstrates a courteous and respectful attitude to internal workforce and external customers.
Communication/Knowledge: 
Provides accurate and timely written and verbal communication of information in a manner that is understood by all. 
Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome. 

Able to use IT systems in an accurate and proficient manner.
Collaboration/Teamwork: 
Contributes toward effective, positive working relationships with internal and external colleagues. 
Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.
Education/Experience: 
High school graduate or equivalency required. 
Minimum of three years of Medical Staff credentialing required, two years in an acute care setting preferred. 
Knowledge of applicable regulatory requirements (TJC, CMS, Title 22, etc.) 
Proficiency with Microsoft Office applications and Credentialing and EMR databases. 
Ability to formulate routine reports and correspondence.
Licensure/Certifications: 
Certified Professional Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS), or Associate Degree preferred.
ADA/Physical Demands: 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered. 
Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell. The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.






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